Evan Roubal

NPI #1043571904 in Champlin, Minnesota

Provider Information

NPI Number: 1043571904
Entity Type: Individual
Name: Evan Roubal
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Enumeration Date: Jun 6, 2012
Last Updated: Jun 6, 2012

Practice Location

Address: 12054 MISSISSIPPI DR N
City: Champlin
State: Minnesota
ZIP Code: 55316-2110
Phone: (760) 725-5298

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman	1710I1002X	Primary

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